US10842464B2ActiveUtilityA1

Apparatus and method for determining blood flow velocity

92
Assignee: KONINKLIJKE PHILIPS NVPriority: May 28, 2015Filed: May 17, 2016Granted: Nov 24, 2020
Est. expiryMay 28, 2035(~8.9 yrs left)· nominal 20-yr term from priority
A61B 8/06A61B 5/024A61B 8/4236A61B 8/4477A61B 8/54A61B 8/58A61B 8/56A61B 5/725A61B 8/15A61B 8/065A61B 8/5223
92
PatentIndex Score
23
Cited by
21
References
17
Claims

Abstract

Apparatus and method comprising an ultrasound transmitter, for placement at a first location on the body of a subject, to emit an ultrasound pulse; an ultrasound receiver, for placement at a second location on the body, to detect an emitted ultrasound pulse; and a controller in communication with the transmitter and receiver. The controller causes an ultrasound pulse to be emitted by the transmitter; receives a measurement signal from the receiver; determines, based on the received measurement signal, a time of arrival at the receiver, T 1 s of a first part of the emitted ultrasound pulse; determines, based on the received measurement signal, a time of arrival at the receiver, T 2 , of a second part of the ultrasound pulse; and calculates, using T 1 and T 2 , a flow velocity of blood in a blood vessel between the first location and the second location.

Claims

exact text as granted — not AI-modified
The invention claimed is: 
     
       1. An apparatus for measuring flow velocity of blood flowing in a blood vessel of a subject, the apparatus comprising:
 an ultrasound transmitter, for placement at a first location on the body of a subject, and arranged to emit an ultrasound pulse; 
 an ultrasound receiver, for placement at a second location on the body of the subject, and arranged to detect an ultrasound pulse emitted by the ultrasound transmitter; and 
 a controller in communication with the ultrasound transmitter and the ultrasound receiver and arranged to:
 cause an ultrasound pulse to be emitted by the ultrasound transmitter; 
 receive a measurement signal from the ultrasound receiver corresponding to the ultrasound pulse; 
 determine T 1 , based on the received measurement signal, wherein T 1  is a time of arrival at the ultrasound receiver of a first part of the emitted ultrasound pulse; 
 determine T 2 , based on the received measurement signal, wherein T 2  is a time of arrival at the ultrasound receiver of a second part of the emitted ultrasound pulse; and 
 
 calculate, using T 1  and T 2 , the flow velocity of the blood flowing in the blood vessel located between the first location and the second location, wherein the flow velocity is calculated from: 
 
       
         
           
             
               
                 
                   
                     ( 
                     
                       
                         ToF 
                         2 
                       
                       - 
                       
                         ToF 
                         1 
                       
                     
                     ) 
                   
                   ⁢ 
                   c 
                 
                 
                   ToF 
                   2 
                 
               
               = 
               
                 
                   vc 
                   
                     ( 
                     
                       c 
                       + 
                       v 
                     
                     ) 
                   
                 
                 ≈ 
                 v 
               
             
           
         
       
       where ToF 1  is a time of flight of the first part of the emitted ultrasound pulse and is given by ToF 1 =T 1 −T 0  and 
       
         
           
             
               
                 
                   ToF 
                   1 
                 
                 = 
                 
                   L 
                   
                     c 
                     + 
                     v 
                   
                 
               
               , 
             
           
         
       
       ToF 2  is a time of flight of the second part of the emitted ultrasound pulse and is given by ToF 2 =T 2 −T 0  and 
       
         
           
             
               
                 
                   ToF 
                   2 
                 
                 = 
                 
                   L 
                   c 
                 
               
               , 
             
           
         
       
       L is the length of the ultrasound path between the ultrasound transmitter and the ultrasound receiver, v is the flow velocity, C is the speed of sound in soft tissue, and T 0  is a time at which the ultrasound pulse was emitted;
 or is calculated from: 
 
       
         
           
             
               
                 
                   ( 
                   
                     
                       T 
                       2 
                     
                     - 
                     
                       T 
                       1 
                     
                   
                   ) 
                 
                 ⁢ 
                 
                   
                     c 
                     2 
                   
                   L 
                 
               
               = 
               
                 
                   vc 
                   
                     ( 
                     
                       c 
                       + 
                       v 
                     
                     ) 
                   
                 
                 ≈ 
                 
                   v 
                   . 
                 
               
             
           
         
       
     
     
       2. The apparatus of  claim 1 , wherein the first part of the emitted ultrasound pulse corresponds to at least part of a first rising edge of an envelope of the received measurement signal and the second part of the emitted ultrasound pulse corresponds to at least part of a main peak of the envelope. 
     
     
       3. The apparatus of  claim 1 , wherein determining T 1  comprises determining an earliest time at which the envelope of the received measurement signal equals a first predefined threshold amplitude and determining T 2  comprises determining the earliest time at which the envelope of the received measurement signal equals a second predefined threshold amplitude. 
     
     
       4. The apparatus of  claim 3 , wherein the first predefined threshold amplitude corresponds to a first percentage of a maximum amplitude of the received measurement signal and the second predefined threshold amplitude corresponds to a second percentage of the maximum amplitude, wherein the second percentage of the maximum amplitude is larger than the first percentage of the maximum amplitude. 
     
     
       5. The apparatus of  claim 1 , wherein the controller is arranged to:
 cause the ultrasound pulse to be emitted by the ultrasound transmitter at regular intervals; 
 receive the measurement signal from the ultrasound receiver, determine T 1  and T 2 , and calculate the flow velocity, in respect of each emitted ultrasound pulse; and 
 generate a time-dependent flow velocity signal based on the calculated flow velocity values. 
 
     
     
       6. The apparatus of  claim 5 , wherein the controller is further arranged to:
 receive a heartbeat rhythm signal for the subject; and 
 filter the time-dependent flow velocity signal to extract variations synchronous with the received heartbeat rhythm signal using a band pass filter. 
 
     
     
       7. The apparatus of  claim 5 , wherein the controller is further arranged to fit the time-dependent flow velocity signal to a model. 
     
     
       8. The apparatus of  claim 5 , wherein the controller is further arranged to:
 receive posture information for the subject; and 
 correct the flow velocity signal based on the received posture information. 
 
     
     
       9. The apparatus of  claim 5 , wherein the controller is further arranged to calculate a stroke volume and/or a cardiac output of the subject, based on the flow velocity of the blood. 
     
     
       10. The apparatus of  claim 1 , wherein one or more operational parameters of the ultrasound transmitter and/or the ultrasound receiver is automatically adjustable by the controller, and wherein the controller is further arranged to perform a calibration process comprising:
 adjusting one or more operational parameters of the ultrasound transmitter and/or the ultrasound receiver; 
 measuring one or more attributes of the measurement signal received from the ultrasound receiver; and 
 selecting a value for each of the one or more operational parameters of the ultrasound transmitter and/or the ultrasound receiver based on the measured one or more attributes. 
 
     
     
       11. The apparatus of  claim 10 , wherein the blood vessel comprises the descending aorta of the subject. 
     
     
       12. The apparatus of  claim 1 , wherein each of the ultrasound transmitter and the ultrasound receiver comprises circuitry embedded in an adhesive patch for adhering to a surface of the subject. 
     
     
       13. The apparatus of  claim 1 , the controller comprises:
 a communications interface for enabling communication between the controller and ultrasound transmitter and between the controller and the ultrasound receiver. 
 
     
     
       14. The apparatus of  claim 1 , wherein the blood vessel comprises the descending aorta of the subject. 
     
     
       15. The apparatus of  claim 1 , wherein calculating the flow velocity of the blood flowing in the blood vessel comprises calculating, using T 1  and T 2 , the flow velocity of the blood in the blood vessel located between the ultrasound transmitter and the ultrasound receiver. 
     
     
       16. A method of measuring flow velocity of blood flowing in a blood vessel of a subject, the method comprising:
 causing an ultrasound pulse to be emitted from an ultrasound transmitter at a first location on the body of the subject; 
 receiving a measurement signal from an ultrasound receiver at a second location on the body of the subject, the received signal corresponding to a detection by the ultrasound receiver of the ultrasound pulse; 
 determine T 1 , based on the received measurement signal, wherein T 1  is a time of arrival at the ultrasound receiver of a first part of the emitted ultrasound pulse; 
 determine T 2 , based on the received measurement signal, wherein T 2  is a time of arrival at the ultrasound receiver of a second part of the emitted ultrasound pulse; and 
 calculating, using T 1  and T 2 , the flow velocity of blood flowing in the blood vessel located between the first location and the second location, wherein the flow velocity is calculated from: 
 
       
         
           
             
               
                 
                   
                     ( 
                     
                       
                         ToF 
                         2 
                       
                       - 
                       
                         ToF 
                         1 
                       
                     
                     ) 
                   
                   ⁢ 
                   c 
                 
                 
                   ToF 
                   2 
                 
               
               = 
               
                 
                   vc 
                   
                     ( 
                     
                       c 
                       + 
                       v 
                     
                     ) 
                   
                 
                 ≈ 
                 v 
               
             
           
         
       
       wherein ToF 1  is a time of flight of the first part of the emitted ultrasound pulse and is given by ToF 1 =T 1 −T 0  and 
       
         
           
             
               
                 
                   ToF 
                   1 
                 
                 = 
                 
                   L 
                   
                     c 
                     + 
                     v 
                   
                 
               
               , 
             
           
         
       
       ToF 2  is a time of flight of the second part of the emitted ultrasound pulse and is given by ToF 2 =T 2 −T 0  and 
       
         
           
             
               
                 
                   ToF 
                   2 
                 
                 = 
                 
                   L 
                   c 
                 
               
               , 
             
           
         
       
       L is the length of the ultrasound path between the ultrasound transmitter and the ultrasound receiver, v is the flow velocity, c is the speed of sound in soft tissue, and T 0  is a time at which the ultrasound pulse was emitted;
 or is calculated from: 
 
       
         
           
             
               
                 
                   ( 
                   
                     
                       T 
                       2 
                     
                     - 
                     
                       T 
                       1 
                     
                   
                   ) 
                 
                 ⁢ 
                 
                   
                     c 
                     2 
                   
                   L 
                 
               
               = 
               
                 
                   vc 
                   
                     ( 
                     
                       c 
                       + 
                       v 
                     
                     ) 
                   
                 
                 ≈ 
                 
                   v 
                   . 
                 
               
             
           
         
       
     
     
       17. The method of  claim 16 , wherein the blood vessel comprises the descending aorta of the subject.

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